Multi-morbidity: a system design challenge in delivering patient-centred care

Multi-morbidity: a system design challenge in delivering patient-centred care.

The National Chronic Disease Strategy provides a framework to improve ‘chronic disease prevention and care across Australia’. It is framed around single chronic illnesses. However, multimorbidity is increasingly common in our ageing population. In 2010 ~13.6% of Australians were aged between 65 and 85 years and over half of these are known to have had at least five chronic conditions. The top f...

Heavy menstrual bleeding: delivering patient-centred care.

Patient-centred care in a self-centred world.

The first patient I saw after coming back from Africa had floaters. I had just spent several months in the war-torn region between Chad and the Sudan, staffing a Médecins Sans Frontières project doing its best to keep up with the demand: a hundred youngsters with malaria every week, malnourished infants, shrapnel wounds, and worse. I knew it would be tough coming back to the routine grind of pr...

Delivering person centred care in long term conditions.

Long term conditions are a major challenge to the sustainability of health services globally. Their increasing prevalence is associated with growing rates of preventable complications and premature mortality, resulting in soaring costs (box 1). These factors, coupled with higher expectations among patients and the public, create an urgent need to redesign health services, which are still largel...

Patient‐centred care is a way of doing things: How healthcare employees conceptualize patient‐centred care

BACKGROUND Patient-centred care is now ubiquitous in health services research, and healthcare systems are moving ahead with patient-centred care implementation. Yet, little is known about how healthcare employees, charged with implementing patient-centred care, conceptualize what they are implementing. OBJECTIVE To examine how hospital employees conceptualize patient-centred care. RESEARCH ...